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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />, BUILDING DEPARTMENT <br /> <br />3 - ,Yo--tOY <br />DATE RECEIVED --_ <br />PLANS REVIEW FEE <br /> <br />OWNER'S NAME G I Y DC" '7> :-:::rh,,o <br /> <br />JOB ADDRESS ~q 4t e Q o~c"l (\.~ fs~\.J;'::> ' <br /> <br />LEGAL DESCRIPTION: LOT(S) ~/~ BLOCK <br />PARCEL ID # :i),lj-d..lodJ-Dvw - C()/fXJ-D/y8 <br /> <br />PHONE ''1 ~~, \ <.., fJ 2J <br />ZC:-ph.{ ((~\ \\<... ~ <br />eCHO 0 SUBDIVISION ([uD CUD <br /> <br />(OBTATN FROM PROPERTY TAX NOTTCF.) <br /> <br />WORK PROPSED: ~NEW CONSTRUCTION <br />o SIGN <br /> <br />DADDITION <br /> <br />DALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />)QCOMMERCIAL <br /> <br />o RESTAURANT & HEALTH DEPARTMENT APPROVAL <br />DESCRIPTION OF WORK '- \"uOI<:..\""_ Shcp <br />BUILDING SIZE G70 y. ~ 0 SQUARE FOOTAGE S;{BD <br /> <br />~ <br /> <br />DMULTI - FAMILY <br />o INDUSTRIAL <br /> <br />D# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />/fIe" <br />HEIGHT / -; <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />.~LDING <br />D ELECTRICAL <br />D PLUMBING <br />D ME CHAN I CAL <br /> <br />D GAS <br /> <br />D ROOFING <br /> <br />PERMITS REQUESTED <br /> <br />$ 5'-\)oou <br />2- C)(:;; <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />'')zJ FLORIDA POWER <br /> <br />AMP SERVICE <br /> <br />W.R.E.C., <br /> <br />o <br /> <br />$ <br /> <br />~fl / A- <br />Lon/A-- <br /> <br />. <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />c <br />C 'J 1 <br />~.~ \ <br /> <br />D SPECIALTY ''let OTHER <br /> <br />TYPE OF CONSTRUCTION: D BLOCK <br /> <br />o FRAME <br /> <br />9:" STEEL D OTHER <br />IS PROJECT IN FLOOD ZONE AREAD YES )xf NO <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br /> <br />BUILDER "'__) <br />SIGNATU~ ic:<\:.\"-,, ~- <br /> <br />COMPAN~R7fY\A~ (! 0 1\,j$...\.1t....-<-<\.c~ ~Cl ' <br />STATE CER OR REGIST # eA>~ ' 035>/ .s '-/ <br />CITY PROCESSING # ~ 7 t-f <br /> <br />ELECTRICIAN <br /> <br />SIGNATURE <br /> <br />PLUMBER <br /> <br />SIGNATURE <br /> <br />MECHANICAL <br /> <br />SIGNATURE <br /> <br />OTHER <br /> <br />SIGNATURE <br /> <br />****************************************************************** <br /> <br /> <br />COMPANyCAc"tl\js.lc E_lec-kle <br />STATE CERT OR REGIST # ~ R 0 S'~ ;f,)G:, <br />CITY PROCESSING # <br /> <br />**************************************************** <br /> <br />t1/A <br />, { <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />***********~****************************************************** <br /> <br />COMPANY: <br />'--.IlIA-' STATE CERT OR REGIST # <br />-/ ' CITY PROCESSING # <br /> <br />~.........................:o:::~;......*........*......~. <br /> <br /> <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />**********~****************************************************** <br />